| NPI | 1992043327 |
|---|---|
| Doing Business As | BIG SANDY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. DIODATI Clinic Manager 307-273-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2022-07-21 |